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Nicolas Ryan Smith

Counselor - Professional β€’ Columbus, OH

Active NPI 1770048696 Individual Practitioner Male Practitioner
Practice location in NPPES

630 E Broad St
Columbus, OH 432153999

Call 6146185955 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

630 E Broad St

Columbus, OH 432153999

Telephone 6146185955
Organization at the Same NPPES Address or Phone
Real Psychological Services Facility NPI 1972314151

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Columbus and Ohio

648 active clinicians are listed under Counselor - Professional with a practice address in Columbus, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

3.5% of these 648 clinicians have the CMS telehealth indicator.

9.4% of these 648 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.2606350
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH LICDC.162627
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES ME CC8811
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location February 12, 2026

Registered at 630 E BROAD ST, COLUMBUS, OH 432153999 (Tel: 6146185955)

πŸ“
Updated Business Mailing Address February 12, 2026

Registered at 630 E BROAD ST, COLUMBUS, OH 432153999

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2024

Counselor (license number reported to NPPES: OH LICDC.162627)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2024

Counselor (license number reported to NPPES: OH C.2305696)

πŸ“
Updated Practice Location February 27, 2024

Registered at 195 N GRANT AVE, COLUMBUS, OH 432152855 (Tel: 6144048686)

πŸ“
Updated Business Mailing Address February 27, 2024

Registered at 195 N GRANT AVE, COLUMBUS, OH 432152855

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Behavior Technician

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2023

Counselor (license number reported to NPPES: OH C.2204409-TRNE)

βœ…
NPI Profile Active February 05, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 05, 2019

Registered at 545 METRO PL S STE 100, DUBLIN, OH 430175353 (Tel: 6144048686)

πŸ“
Business Mailing Address (Initial Record) February 05, 2019

Registered at 390 UNION BLVD STE 300, LAKEWOOD, CO 802286514 (Tel: 3039898169)

πŸ‘€
Provider Name / Credentials (Initial Record) February 05, 2019

Recorded as NICOLAS SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 05, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770048696
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2019
Last Update: July 13, 2026
Sole Proprietor: No

Other Counselor - Professionals in Columbus

Healthcare providers in Columbus

Mailing Address

630 E Broad St

Columbus, OH 432153999

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.